肺软骨瘤的CT表现及病理分析  

The CT and pathologic features of pulmonary chondroma

作　　者：徐峰 朱蒙蒙 鲍雷 王其涛 李秦鹏 祁良 XU Feng;ZHU Mengmeng;BAO Lei;WANG Qitao;LI Qinpeng;QI Liang(Departmeng of Radiology, Suqian First People＇ s Hospital, Suqian, Jiangsu Province 223800, China;Departmeng of Radiology ,the First Affiliated Hospital of Nanjing Medical University Nanjing 221000,China)

机构地区：[1]宿迁市第一人民医院医学影像科,江苏宿迁223800 [2]南京医科大学第一附属医院放射科,江苏南京221000

出　　处：《实用放射学杂志》2018年第5期673-675,共3页Journal of Practical Radiology

摘　　要：目的 分析肺软骨瘤的CT和病理表现，提高对该病诊断的准确性。方法 回顾性分析6例经手术病理证实的肺软骨瘤的CT资料。结果 6例均为单发，右肺3例，左肺3例。肿瘤长径约1.0~5.1 cm。2例病灶呈浅分叶状，4例病灶呈光滑圆形。4例病灶境界清楚，2例病灶边缘毛糙。1例病灶内见伴斑片状钙化灶。结论 肺软骨瘤CT表现具有一定的特征性，包括“血管贴边征”和“海棠征”，但是需要与肺错构瘤、周围型肺癌和硬化性肺细胞瘤等鉴别。Objective To explore the CT and pathologic manifestations of the pulmonary chondroma, to improve the diagnostic accuracy and reduce the misdiagnosis.Methods The CT data of 6 patients with pulmonary chondroma proved by pathology were analyzed retrospectively.Results All 6 cases were solitary,3 cases occurred in the right lung and the other 3 cases occurred in the left lung. The diameter of the lesions ranged from 1.0 cm to 5.1 cm. 2 cases showed lobulated shape, 4 cases showed round shape. 4 cases showed circumscribed margin,2 cases showed blurrmed margin.Furthermore,calcification was detected in 1 case.Conclusion Pulmonary chondroma has some characteristic CT features,including vascular border sign and begonia sign. However,it should be differentiated from pulmonary hamartoma, peripheral lung cancer and sclerosing pneumocytoma.

关 键 词：肺 软骨瘤 计算机体层成像 

分 类 号：R734.2[医药卫生—肿瘤] R814.42[医药卫生—临床医学]